Individual ProviderMariann SiscoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11211 Prosperity Farms Rd, Palm Beach Gardens, FL 33410-3446(561) 622-4706PECOS EnrollmentBased on the most recent information from CMS, provider Mariann Sisco does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1760528830Provider TypeIndividualFull NameSisco, MariannTitleMs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date1/29/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address11211 Prosperity Farms Rd, Palm Beach Gardens, FL 33410-3446Phone(561) 622-4706Fax(561) 627-9231Mailing LocationMailing Address11211 Prosperity Farms Rd, Palm Beach Gardens, FL 33410-3446Phone(561) 622-4706Fax(561) 627-9231Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT13490Florida